Have you ever willfully or intentionally refused to pay rent when due?*

Yes

No

Have your ever had a home foreclosure?*

Yes

No

If Yes, When?*

Have you ever had a home foreclosure initiated against you?*

Yes

No

If Yes, When?*

Do you currently have accounts in collection?*

Yes

No

Third Choice

Employment History

Your Status*

Full Time

Part Time

Student

Unemployed

Retired

Employer

Dates Employed

From

To

Employed As

Supervisor Name

Phone

If employed by above less than 12 months, give name and phone of previous employer or school:

Monthly Income

Wages

Alimony

Self Employment

Other

Other

Auto Loan Payments

Food

Auto Insurance

Credit Card Installment

Auto Fuel

Student Loans

Alimony

Child Care

Cell Phone/Telephone

Child Tuition

Pet Care

Misc Expenses

Internet/Cable Service

Other

Health Insurance

Banking Accounts*

Name

Type of Account

Acct #

Personal References or Emergency Contact*

Name

Address

Phone

Relationship

Vehicle Information*

Make/Model

Year

License Plate #

Additional Information

Please give any additional information that might help management evaluate this application:

Signature

FirstLast

The above information, to the best of my knowledge, is true and correct.
I agree to permit an investigation of my credit, tenant history, banking and employment for the purposes of renting a townhome with this owner/manager.

Date

We welcome you to apply to live at Pleasant Townhomes of Pickerington! To submit your application, please use the form below or click on the “PTH Rental Application 2020” link below.PTH Rental Application 2020

You can also fill an application by downloading the PDF Rental application below.

The Rental Application Fee is $40.00 per adult applicant which would be paid by the applicant online to TransUnion SmartMove during the tenant screening process.

Rental Application

Unit Address*

Street Address

Unit #*

Anticipated Move Date

Monthly Rent*

Please enter a value between 100 and 10000.

Security Deposit*

Please enter a value between 100 and 10000.

Please Tell Us About Yourself

Name*

FirstLast

Date of Birth*

Social Security #

If Yes, When?*

Drivers License #

Home Phone*

Cell Phone

Email

Co-Applicant Name

FirstLast

Do You Have a Water Bed?*

Yes

No

Third Choice

Do You Smoke?*

Yes

No

Dependents/Occupant

Name of Dependent/Occupant

Birthdate

Pet Information

List of Pets

Breed

Weight

Residential History (Last 3 Years)

Current Address*

AddressCityStateZip

*

Month/Year Moved In

Reasons for Leaving

Rent

*

Owner/Agent

Phone

Previous Address

AddressCityStateZip

Owner/Agent

Phone

Describe Your Credit History

Have you declared bankruptcy in the past seven (7) years?*

Yes

No

If Yes, When?*

Have you ever been evicted from a residential rental?*

Yes

No

If Yes, When?*

Have you had two or more late rental payments in the past year?*

Yes

No

Have you ever willfully or intentionally refused to pay rent when due?*

Yes

No

Have your ever had a home foreclosure?*

Yes

No

If Yes, When?*

Have you ever had a home foreclosure initiated against you?*

Yes

No

If Yes, When?*

Do you currently have accounts in collection?*

Yes

No

Third Choice

Employment History

Your Status*

Full Time

Part Time

Student

Unemployed

Retired

Employer

Dates Employed

From

To

Employed As

Supervisor Name

Phone

If employed by above less than 12 months, give name and phone of previous employer or school:

Monthly Income

Wages

Alimony

Self Employment

Other

Other

Auto Loan Payments

Food

Auto Insurance

Credit Card Installment

Auto Fuel

Student Loans

Alimony

Child Care

Cell Phone/Telephone

Child Tuition

Pet Care

Misc Expenses

Internet/Cable Service

Other

Health Insurance

Banking Accounts*

Name

Type of Account

Acct #

Personal References or Emergency Contact*

Name

Address

Phone

Relationship

Vehicle Information*

Make/Model

Year

License Plate #

Additional Information

Please give any additional information that might help management evaluate this application:

Signature

FirstLast

The above information, to the best of my knowledge, is true and correct.
I agree to permit an investigation of my credit, tenant history, banking and employment for the purposes of renting a townhome with this owner/manager.